Individual provider · Type 1 NPI

Jordan Leanne Bergdall

Mental Health Counselor · Enid, OK

NPI number 1801705371 Active

Practice location

230 W Maple Ave
Enid, OK 73701-4012

Mailing address

507 S Garfield St
Enid, OK 73703-5512

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801705371

Jordan Leanne Bergdall's National Provider Identifier is 1801705371, issued on Sep 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enid, OK. The record was last updated on Sep 2, 2026.